The use of traditional specimen-based anatomy spotters as a means of assessment has declined in recent years. This is partly due to increasing student numbers and thus time required for conducting such exams; marker variability and impartiality are also issues. In an attempt to address these problems, we introduced a robust and modified MCQ-style spotter exam for dental students. Predominantly image based, the examination requires students to choose from multiple answer options. Either a positive whole mark per question is awarded or fraction thereof according to the following algorithm: x = a/max(b,c), where x = score per question, a = number of matched correct answers, b = actual number of correct answers, and c = total number of answers selected by candidate. Performance in conventional specimen-based spotter assessments was compared with that of the MCQ-style format, and minimal differences between average marks were noted. Advantages of the MCQ format include automated marking and thus consistent accurate scores, reduced marking time, and consistency between different administrators. Disadvantages include initial time for preparation and checking of master answer sheet, clear instructions for students who require a formative assessment. In conclusion, this MCQ-style examination may provide significant advantages for institutions unable to conduct traditional spotter exams.